Clinical Case Manager (32747)

ICM Clinical Case Manager provides community-based interventions designed to stabilize and support high-need individuals on the Intensive Case Management (ICM) team in Multnomah County with an assertive engagement approach. The case manager works as part of the Integrated Dual Disorders ICM team to implement, monitor, and document services to individuals enrolled on this team from a trauma informed, DEI focused lens, connection to resources and peer supports, and demonstrate strong advocacy skills on participant’s behalf. The ICM Clinical Case Manager will work in tandem with Mental Health Clinician to allow for increased contact and crisis response. Case Managers follow procedures, outcome goals, and reporting requirements as outlined by New Narrative’s contract with Multnomah County. Services are community based whenever possible with at least two-thirds of the case manager’s time spent out of the office and making use of natural community supports such as family, friends, landlords, employers etc.

Environment:

This is primarily community based outreach position where 80% if your time will be in the community in a mixture of direct care, coordination, skills training, transportation, or travel. You will be provided technology to support community based work. Due to the nature of the work, you will be exposed to various weather conditions and expected to maintain outreaching unless directed to otherwise by your supervisor. There is an office space at a clinic for administrative tasks and team meetings. This is direct care role that requires in person contact with participants.

Accountabilities: (Responsibilities of the job)

Case Management

ICM Clinical Case Manager with work collaboratively with Mental Health Clinician and participant to create and implement the participant’s individual service plan. The ICM team provides comprehensive wrap around services through inter-disciplinary care to assist individuals to meet their basic needs, promote safety, accomplish goals, as outlined in the collaborative treatment plan, and attain the highest level of independence possible. These services included coordination of care, skills training, case management and connection to local benefits, coordination with medical providers (and other providers as needed) and assisting participants in meeting basic IADL needs. Number of contacts are weekly and community based in combination with coordination with providers and integrated team.

• Assist participant in connecting to resources and maintaining resources needed to achieve goals set in the individual service and support plan, including: SSI/SSDI, SNAP, vital documents, ID, etc.
• Advocate for and with participant.
• Provide transportation using company vehicle as needed to/from appointments to ensure connection and access to resources, as well as skills training opportunities in the community, etc.
• Monitor, coordinate, and document all agency services.
• Develop relationships with providers and stakeholders to facilitate service provision
• Have regular, frequent contact with consumers and identified providers/supports.
• Monitor medication distribution, assist with prescriber visits.
• Coordinate with external providers and natural supports for participant’s wellness, including: PCP/medical, money management services, ENCC, FD, prescribers, other community providers, and intervene as necessary with landlords and other community stakeholders to encourage housing stability.
• Connect participants to cultural resources as applicable
• Regular documented coordination with integrated team

Skills Training

• In collaboration with participants, identifying functional barriers as well as other skills training needs (ie. ADLs, iADLs), creating agreed upon plan to achieve goals.
• Addressing other identified skills training needs in collaboration with other providers (ie. Community integration, interpersonal effectiveness, budgeting, medication management,